<#include "head.ftl">
<!--breadcrumbs start-->
<#include "sidebar.ftl">
<!--breadcrumbs end-->
<!--container start-->
    <div class="container">


        <div class="row">
            <div class="col-lg-5 col-sm-5 address">
                <h4>New Yourk</h4>
                <p>
                    Jonathon Smith <br/>
                    Street Address 228 Park Avenue South New York, <br/>
                    NY 10003-1502.
                </p>
                <br>
                <br>
                <br>
                <p>
                    Phone <br/>
                    <span class="muted">(212) 210-2100</span><br/>
                    Fax <br/>
                    <span class="muted">212-995-4794.</span><br/>
                    Email <br/>
                    <span class="muted">info@domain.com</span>
                </p>
            </div>
            <div class="col-lg-7 col-sm-7 address">
                <h4>Send a Message</h4>
                <div class="contact-form">
                    <form role="form">
                        <div class="form-group">
                            <label for="name">Name</label>
                            <input type="text" placeholder="" id="name" class="form-control">
                        </div>
                        <div class="form-group">
                            <label for="email">Email</label>
                            <input type="text" placeholder="" id="email" class="form-control">
                        </div>
                        <div class="form-group">
                            <label for="phone">Phone</label>
                            <input type="text" id="phone" class="form-control">
                        </div>
                        <div class="form-group">
                            <label for="phone">Message</label>
                            <textarea placeholder="" rows="5" class="form-control"></textarea>
                        </div>
                        <button class="btn btn-danger" type="submit">Submit</button>
                    </form>

                </div>
            </div>
        </div>

    </div>
    <!--container end-->


<#include "foot.ftl">